Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Kentucky (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Steven Baker (NPI 1124365739)

Field	Value
Entity Type	Individual
Organization	Steven Baker
Address	4036 Dutchmans Ln
City	Louisville
State	KY
ZIP	40207
Taxonomy	Optician
NPI Enumerated	January 16, 2013

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2020	Frames, purchases	158,080	$10	$1.3M
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	87,470	$10	$612.3K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	45,810	$10	$274.9K
V2784	Lens, polycarbonate or equal, any index, per lens	105,100	$1	$210.2K
V2760	Scratch resistant coating, per lens	104,810	$1	$209.6K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	18,520	$10	$148.2K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	13,240	$10	$79.4K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	10,940	$10	$65.6K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	7,630	$10	$53.4K
V2025	Deluxe frame	1,050	$20	$23.1K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.

Claims Volume vs. Kentucky Distribution

Steven Baker — 9 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	360	590	730	$40	$62.5K
V2020	Frames, purchases	2	530	530	$20	$55.2K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	2	360	270	$20	$33.2K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2	290	340	$10	$18.9K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	2	60	170	$20	$18.1K
V2101	Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens	2	10	3,250	$10	$15.5K
V2784	Lens, polycarbonate or equal, any index, per lens	2	460	380	$10	$13.7K
V2111	Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens	2	10	2,130	$10	$13.2K
V2025	Deluxe frame	2	10	1,050	$20	$12.3K
V2204	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	2	10	1,920	$10	$12K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as Steven Baker, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Adult Health Day Care Center	KY	Adult Day Care Clinic/Center	$0	$71M
Baptist Healthcare System Inc.	KY	General Acute Care Hospital	$0	$62.4M
Commonwealth Pain Associates, PLLC	KY	Interventional Pain Medicine Physician	$0	$42.2M
Access Adult Health Day Care Center	KY	Adult Day Care Clinic/Center	$0	$32.6M
Gould's Discount Medical LLC	KY	Durable Medical Equipment & Medical Supplies	$0	$32.1M
Path Forward Of Kentucky Inc.	KY	Community/Behavioral Health Agency	$0	$22.1M
Tatyanas Case Management, LLC	KY	Adult Day Care Clinic/Center	$0	$14.2M
Center For Behavioral Health Kentucky LLC	KY	Methadone Clinic	$299.5K	$13.2M
Pediatric And Neonatal Specialists	KY	Pediatrics Physician	$0	$8.8M
Emergency Medical Associates, Psc	KY	Emergency Medicine Physician	$0	$8M

Steven Baker — Billing Profile & Reimbursement Data

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Steven Baker — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References